NPI | 1619035060 |
---|---|
Former Name | TAMARA ASHLEY CASCONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT21249) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT008657) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2023-07-21 |