| NPI | 1407107162 |
|---|---|
| Former Name | HAZEL MARIE PATIAG BALIITON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11935-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT010262) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |