| NPI | 1689616500 |
|---|---|
| Former Name | BEATA MARIE CRUZ BASILIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-2723) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 32709) |
| 225100000X Physical Therapist (Licence: FL PT21903) | |
| 225100000X Physical Therapist (Licence: HI PT 2723) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-03-29 |