| NPI | 1508370453 | 
|---|---|
| Former Name | NUTTA-ON PROMJUNYAKUL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: GA PT013222) | 
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: CO PTL.0014385) | 
| 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT013222) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: CO PTL.0014385) | |
| Enumeration Date | 2017-11-29 | 
| Last Update Date | 2017-11-29 |