| NPI | 1679887301 |
|---|---|
| Former Name | NICOLE C GREGOIRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 06317) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OR 06317) |
| 225100000X Physical Therapist (Licence: MI 5501017459) | |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2022-07-21 |