NPI | 1528122835 |
---|---|
Former Name | ERIN MARIE BURLOVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305204299) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 21489) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2013-07-22 |