NPI | 1609120039 |
---|---|
Former Name | TRICIA ANASTASIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01485900) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 035700) |
Enumeration Date | 2012-11-07 |
Last Update Date | 2024-09-12 |