NPI | 1538545108 |
---|---|
Other Name | MARYALICIA KOHUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305209667) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209667) |
Enumeration Date | 2015-08-06 |
Last Update Date | 2021-06-21 |