| NPI | 1679010151 |
|---|---|
| Former Name | KRYSTLE JOY DESQUITADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT292486) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 292486) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2021-11-09 |