| NPI | 1417936881 |
|---|---|
| Former Name | BINIE ALEYAMMA YOHANNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60789915) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1154180) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2019-10-02 |