NPI | 1649836818 |
---|---|
Former Name | CLARA TOSTOVARSNIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT35701) |
Additional Taxonomies | 225100000X Physical Therapist |
2251X0800X Physical Therapist, Orthopedic | |
Enumeration Date | 2019-05-14 |
Last Update Date | 2023-01-13 |