| NPI | 1619338076 |
|---|---|
| Former Name | PRIYA MATHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01523300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 036716) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |