NPI | 1538401021 |
---|---|
Former Name | LAUREN KRYSTAL GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 3123434) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2091639) |
Enumeration Date | 2013-03-22 |
Last Update Date | 2019-07-15 |