NPI | 1548760978 |
---|---|
Former Name | AMANDA MARIE TOCCI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA065313) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2018-02-12 |
Last Update Date | 2024-04-29 |