| NPI | 1467640342 |
|---|---|
| Former Name | DANA PELLETIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60147275) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7843) |
| 225100000X Physical Therapist (Licence: OR 6815) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2016-02-23 |