NPI | 1457850851 |
---|---|
Former Name | TULSI M KACHA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212674) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26565) |
Enumeration Date | 2018-02-12 |
Last Update Date | 2019-06-26 |