NPI | 1396121091 |
---|---|
Former Name | ALEXANDRIA UDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 125878) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21840) |
Enumeration Date | 2015-08-04 |
Last Update Date | 2024-10-31 |