| NPI | 1427044189 |
|---|---|
| Former Name | KRISTINE BOMEDIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213251) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21032) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2019-10-25 |