| NPI | 1548800931 |
|---|---|
| Former Name | LEXIE L MOMBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 301017) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT33880) |
| 225100000X Physical Therapist (Licence: TX 1332541) | |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2021-11-02 |