NPI | 1609012665 |
---|---|
Other Name | AMY CLUCK ALVAREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT295769) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16104) |
Enumeration Date | 2008-12-22 |
Last Update Date | 2022-12-19 |