| NPI | 1669010161 |
|---|---|
| Former Name | SHANTELLE IGIOZEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1344345) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 294861) |
| Enumeration Date | 2019-12-15 |
| Last Update Date | 2021-08-24 |