NPI | 1407193931 |
---|---|
Former Name | AMANDA ALTIERI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 17447) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035277-1) |
Enumeration Date | 2013-01-03 |
Last Update Date | 2018-03-13 |