| NPI | 1639623572 |
|---|---|
| Former Name | BEVERLY IVETTE IGARTUA SOTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT31481) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PT31481) |
| 2251N0400X Physical Therapist, Neurology (Licence: FL PT 31481) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT31481) | |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2023-03-13 |