| NPI | 1427202183 |
|---|---|
| Former Name | MARY JEANNE WASKOWITZ CARNEVALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 26496) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2010-09-10 |