| NPI | 1699914994 |
|---|---|
| Former Name | JANINE EUGENIO PACHECO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT24572) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070016865) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2020-06-21 |