NPI | 1407934359 |
---|---|
Former Name | JOANNA U. MICHALOPULOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305209311) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1158690) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2017-02-01 |