| NPI | 1427618602 |
|---|---|
| Former Name | REBECCA MARY MAASEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2019026722) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2021-11-04 |