| NPI | 1700033636 |
|---|---|
| Former Name | WENNIE MAE BENITO ORMIDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT25149) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010278) |
| 225100000X Physical Therapist (Licence: MO 2006002061) | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2016-08-09 |