NPI | 1356639975 |
---|---|
Former Name | ELIZABETH ANN DRAZKOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12315) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 9380) |
Enumeration Date | 2011-07-17 |
Last Update Date | 2022-06-27 |