NPI | 1366944530 |
---|---|
Former Name | AYESHA RELE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA11778500) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 042259) |
Enumeration Date | 2018-03-05 |
Last Update Date | 2020-02-04 |