| NPI | 1447505698 |
|---|---|
| Former Name | THERESA A. FABRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60312182) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT15224) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2015-05-08 |