NPI | 1700840543 |
---|---|
Former Name | LUZEL DURON SOLAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT2128) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: AR PT2128) |
2251X0800X Physical Therapist, Orthopedic (Licence: AR PT2128) | |
Enumeration Date | 2006-04-17 |
Last Update Date | 2010-06-09 |