| NPI | 1598835597 |
|---|---|
| Former Name | CARLA HACHEM RIZKALLAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 2443) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 40QA01151300) |
| 225100000X Physical Therapist (Licence: MA 13109) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-10-12 |