| NPI | 1700544749 |
|---|---|
| Former Name | ALYSSA LUBIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02084800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25872) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2024-02-09 |