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 |