| NPI | 1427307354 |
|---|---|
| Former Name | REBECA MANJARRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070-019401) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2021-03-16 |