NPI | 1457405565 |
---|---|
Former Name | TAMAR BALIKIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 61506976) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA CA33344) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2024-09-24 |