| NPI | 1639753031 |
|---|---|
| Former Name | JUSTINE CAROL BEDOCS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: CT 002496) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |