NPI | 1508207549 |
---|---|
Former Name | EMILY MEDUVSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 10475) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 10475) |
Enumeration Date | 2013-07-06 |
Last Update Date | 2014-11-03 |