| NPI | 1487155396 |
|---|---|
| Former Name | IRENE JANEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT5210) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 0574) |
| 225100000X Physical Therapist (Licence: MA 4099) | |
| 225100000X Physical Therapist (Licence: CA 42247) | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |