| NPI | 1508150566 |
|---|---|
| Former Name | IRENE PIOL DIOLAZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207407) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23838) |
| 225100000X Physical Therapist (Licence: NY 033610) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2012-06-27 |