NPI | 1417581026 |
---|---|
Former Name | KATIE DEBLASI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38450) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT028425) |
Enumeration Date | 2020-02-24 |
Last Update Date | 2022-04-20 |