| NPI | 1366996662 |
|---|---|
| Former Name | ALYSSA URBANSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 10946) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT024244) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2019-05-15 |