| NPI | 1689785446 |
|---|---|
| Former Name | LORRAINE RACHEL MAZELIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009724) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-07-21 |