NPI | 1528291291 |
---|---|
Former Name | REBECCA CZECHANSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11283-024) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 11283-24) |
Enumeration Date | 2009-08-28 |
Last Update Date | 2016-03-04 |