NPI | 1427330307 |
---|---|
Former Name | ERIKA ROSE ZWAGIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 23879) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26828) |
Enumeration Date | 2011-09-15 |
Last Update Date | 2024-05-07 |