| 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 |