| NPI | 1578040242 | 
|---|---|
| Former Name | MARIAN GERGES | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1387433) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036989-1) | 
| Enumeration Date | 2018-07-25 | 
| Last Update Date | 2024-04-15 |