| NPI | 1417399478 |
|---|---|
| Former Name | MICHELLE MARUCA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 23001) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 37225) |
| 225100000X Physical Therapist (Licence: NC 14307) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2024-05-06 |