NPI | 1497924450 |
---|---|
Former Name | JASMINE DIAZ-HONEA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 22977) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VA 2305212398) |
Enumeration Date | 2008-02-25 |
Last Update Date | 2025-07-14 |