| NPI | 1629747902 |
|---|---|
| Former Name | LEEANNE-ROSE BAGAOISAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH10939) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2024-09-27 |