NPI | 1598097255 |
---|---|
Former Name | AMERICA CARABALLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PR 441) |
Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: PR 441) |
Enumeration Date | 2010-02-05 |
Last Update Date | 2010-02-05 |