| NPI | 1598113938 |
|---|---|
| Former Name | VANESSA LYNNE LAZAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3816) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20663) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |