NPI | 1649713488 |
---|---|
Former Name | STEPHANIE LYNN SALTARELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38375) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL0015411) |
225100000X Physical Therapist | |
225100000X Physical Therapist (Licence: DE J1-0003609) | |
Enumeration Date | 2016-11-28 |
Last Update Date | 2023-10-27 |