NPI | 1518145242 |
---|---|
Former Name | MARCIA M GRANIERI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 027881) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19905) |
Enumeration Date | 2008-02-05 |
Last Update Date | 2021-08-11 |