| NPI | 1508837196 |
|---|---|
| Former Name | ELYSE ROBIN FRIED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL pt19238) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PT19238) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2012-11-01 |