NPI | 1568740629 |
---|---|
Former Name | KELLY MARIE GHIOTTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10280) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014288) |
225100000X Physical Therapist (Licence: IN 05010623A) | |
225100000X Physical Therapist (Licence: TN 10402) | |
Enumeration Date | 2011-07-23 |
Last Update Date | 2021-06-09 |