| NPI | 1477830933 |
|---|---|
| Former Name | ANGELA ANNE VARCASIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033474) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008986) |
| 225100000X Physical Therapist (Licence: MA 16549) | |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2011-11-11 |