| NPI | 1497438972 |
|---|---|
| Former Name | VICTORIA PFAB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH12229) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT004673) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2025-06-28 |