| NPI | 1649435405 |
|---|---|
| Former Name | STEPHANIE ROSE ZIEMBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT013558L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01148400) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |