NPI | 1376536250 |
---|---|
Former Name | ANNA L CARDOSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT6191) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ LPT6191) |
Enumeration Date | 2005-08-25 |
Last Update Date | 2020-03-27 |