| NPI | 1467749986 |
|---|---|
| Former Name | ANNA JOY GAYVERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-6003) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2019-05-15 |