| NPI | 1659526044 |
|---|---|
| Former Name | CORI M WASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030881) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030881-1) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2016-12-13 |