| NPI | 1487004115 |
|---|---|
| Former Name | BLAIR LOSAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P16343) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3579) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2022-03-02 |