| NPI | 1538148564 |
|---|---|
| Former Name | JOSEPHINE QUEBADA HALOG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1319644) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 25040) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2019-09-05 |