NPI | 1467629543 |
---|---|
Former Name | JULIA DEANGELIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01278400) |
Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: NJ PT018499) |
Enumeration Date | 2008-05-08 |
Last Update Date | 2022-11-02 |