NPI | 1417192204 |
---|---|
Former Name | DIANNE MARIE RISCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 005931) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 013448-1) |
Enumeration Date | 2008-12-08 |
Last Update Date | 2015-08-05 |