| NPI | 1700415205 |
|---|---|
| Former Name | MARCELLA EUBANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC A5071) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 11301) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2025-10-16 |