| NPI | 1508917758 |
|---|---|
| Former Name | NADINE ROSE QUEEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT10558) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: FL PT10558) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL383) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2022-10-14 |