| NPI | 1447595434 |
|---|---|
| Former Name | ALLISON MARIE CHICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38762) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 38762) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2016-06-13 |