NPI | 1487047528 |
---|---|
Former Name | ATHINA AJAZI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-30892) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
Enumeration Date | 2015-03-13 |
Last Update Date | 2022-11-16 |