| NPI | 1710543327 |
|---|---|
| Former Name | MADELINE MCCALIB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 308220) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 77960) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2025-07-09 |