NPI | 1689981649 |
---|---|
Former Name | MICHELE MANZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 10894) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT-3191) |
Enumeration Date | 2010-09-10 |
Last Update Date | 2016-04-20 |