NPI | 1396072823 |
---|---|
Former Name | ARLENE PERPUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1303213) |
Additional Taxonomies | 171W00000X Contractor (Licence: NY 0304181-1) |
Enumeration Date | 2009-11-04 |
Last Update Date | 2023-10-10 |