NPI | 1477887321 |
---|---|
Former Name | MAILA CASTRO ASISTIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 36737) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 031126-1) |
Enumeration Date | 2009-09-24 |
Last Update Date | 2020-11-17 |