NPI | 1578506192 |
---|---|
Former Name | MARISA J. ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10471-024) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015133) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2016-04-21 |