NPI | 1588217954 |
---|---|
Former Name | JOANNA STANIEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20023) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2019-07-24 |
Last Update Date | 2021-07-14 |