NPI | 1497122923 |
---|---|
Former Name | DANIELLE LYNN MARINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: NY 039508) |
Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
Enumeration Date | 2015-09-01 |
Last Update Date | 2021-12-28 |