NPI | 1457438483 |
---|---|
Former Name | LANA L LANIUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501012280) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MS PT5501) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2022-04-28 |