| NPI | 1568650299 |
|---|---|
| Former Name | MAURA NUGENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1363068) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305211239) |
| 225100000X Physical Therapist (Licence: NJ 40QA01260100) | |
| 225100000X Physical Therapist (Licence: DC PT210002312) | |
| 225100000X Physical Therapist (Licence: CA 304618) | |
| 225100000X Physical Therapist (Licence: PA PT031329) | |
| 225100000X Physical Therapist (Licence: IL 070027460) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2023-10-05 |