| NPI | 1467800128 |
|---|---|
| Former Name | STEPHANIE NADEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: AZ LPT012270) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: AZ 12270PT) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2023-12-05 |