NPI | 1639727928 |
---|---|
Other Name | GABBY MORENO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 29245) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213145) |
261QP2000X Clinic/Center, Physical Therapy (Licence: MA 24623) | |
261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT36754) | |
Enumeration Date | 2019-08-29 |
Last Update Date | 2022-12-01 |