| NPI | 1649364654 |
|---|---|
| Former Name | ROSA CORREDERA LECKLITNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL 15407) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 20137) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2025-09-11 |