NPI | 1679892020 |
---|---|
Former Name | DAWN MARIE DELAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36588) |
Additional Taxonomies | 226300000X Kinesiotherapist (Licence: CA 36588) |
Enumeration Date | 2010-05-25 |
Last Update Date | 2022-03-09 |