| NPI | 1518903749 |
|---|---|
| Former Name | MICHELLE C BLASI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 3855026) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 056006422) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2007-07-08 |