NPI | 1588797617 |
---|---|
Former Name | JENNIFER CLEMENTE BATOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05008106A) |
Additional Taxonomies | 171W00000X Contractor (Licence: IN 05008106A) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2009-05-19 |