NPI | 1477081461 |
---|---|
Former Name | DANIELLE LYNN DEMARCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT026842) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT33765) |
225100000X Physical Therapist (Licence: TX 1290966) | |
Enumeration Date | 2017-06-02 |
Last Update Date | 2020-11-25 |