| NPI | 1518734771 |
|---|---|
| Former Name | SYDNEY DEPOTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT031916) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT031916) |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2024-07-18 |