| NPI | 1558884494 |
|---|---|
| Former Name | AUDREY M OGOREK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 042007) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2021-12-07 |