| NPI | 1437370392 |
|---|---|
| Former Name | PREETI BASAVARAJ PATIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1170693) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012501) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |