NPI | 1609191626 |
---|---|
Former Name | MEGAN ANN DARDZINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 13110) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT36517) |
Enumeration Date | 2010-04-01 |
Last Update Date | 2018-02-09 |