| NPI | 1437884202 |
|---|---|
| Former Name | RENEE PAQUETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 11381) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215103) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2024-10-07 |