| NPI | 1487869392 |
|---|---|
| Former Name | JOANNA TIU VASAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 032563-1) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY P50546) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2019-05-08 |