NPI | 1558678565 |
---|---|
Former Name | JENNILYN BATARA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 4903) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1347983) |
Enumeration Date | 2010-09-13 |
Last Update Date | 2023-08-02 |