| NPI | 1487023982 |
|---|---|
| Former Name | REBECCA VAN VALKENBURGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 36302) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH7741) |
| 225100000X Physical Therapist (Licence: SC 7953) | |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2021-02-18 |