NPI | 1568913309 |
---|---|
Former Name | JULIA MARIE SWIERZOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025350) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01698000) |
Enumeration Date | 2016-10-17 |
Last Update Date | 2022-07-21 |