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 |