| NPI | 1497127674 |
|---|---|
| Former Name | LI-ZANDRE VAN EEDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60614) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 60614) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2021-05-19 |