NPI | 1639475403 |
---|---|
Former Name | MARIA CONSTANTINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT022351) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT013503) |
Enumeration Date | 2011-01-26 |
Last Update Date | 2018-10-23 |