NPI | 1518083831 |
---|---|
Former Name | IVETTE MARIE ALVARES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT19352) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL pt-19352) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2011-04-15 |