| NPI | 1467604876 |
|---|---|
| Former Name | DEIRDRE DE VERE REGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01283800) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00141000) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2017-01-25 |