| NPI | 1649457086 |
|---|---|
| Former Name | GINA FAJT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT018700) |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: PA PT018700) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2017-02-27 |