| NPI | 1356998082 |
|---|---|
| Former Name | ALICIA FONTANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0014394) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN CP025499T) |
| 225100000X Physical Therapist (Licence: PA PT027975) | |
| 225100000X Physical Therapist (Licence: GA CP025661T) | |
| 225100000X Physical Therapist (Licence: TX CP030378T) | |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2024-05-03 |