NPI | 1427397488 |
---|---|
Former Name | JANINE REBELO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: FL PT35913) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01137200) |
Enumeration Date | 2013-02-11 |
Last Update Date | 2021-03-30 |