| NPI | 1396174017 |
|---|---|
| Former Name | DEANNA FAVERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38897) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305208347) |
| 225100000X Physical Therapist (Licence: DC PT871510) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2022-07-11 |