| NPI | 1457601734 |
|---|---|
| Former Name | REBECCA GOLDSTEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017804) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035414) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2022-07-26 |