NPI | 1467786913 |
---|---|
Former Name | ANN JANETTE REYES TEODORO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21351) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204012) |
225100000X Physical Therapist (Licence: DC PT870227) | |
Enumeration Date | 2009-09-30 |
Last Update Date | 2025-02-25 |