| 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 |