NPI | 1457697427 |
---|---|
Former Name | REBECCA MARIE PESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035659) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01769500) |
Enumeration Date | 2012-12-19 |
Last Update Date | 2018-05-21 |