NPI | 1629306824 |
---|---|
Former Name | ALLISON DECHRISTOFORO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61517) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18672) |
Enumeration Date | 2009-11-27 |
Last Update Date | 2022-07-21 |