NPI | 1538421359 |
---|---|
Professional Name | MARY GRACE PALO ROLDAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01225700) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01225700) |
Enumeration Date | 2012-06-08 |
Last Update Date | 2021-08-30 |