| NPI | 1699276477 |
|---|---|
| Former Name | ALICIA ANN DORKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501018299) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2019-02-11 |