| NPI | 1679887392 |
|---|---|
| Former Name | VICTORIA SHIHOMI RATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 8160250-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009592) |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2024-11-15 |