NPI | 1356775233 |
---|---|
Former Name | KRASNIAK KRASNIAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208287) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 62036789) |
Enumeration Date | 2013-08-27 |
Last Update Date | 2018-09-21 |