NPI | 1508113069 |
---|---|
Former Name | LEILA BELEN EDIZA JAVIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 009510) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT022332) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2019-01-22 |