NPI | 1720182298 |
---|---|
Former Name | MARINA CHANIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT018189) |
Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: PA PT018189) |
2251N0400X Physical Therapist, Neurology (Licence: PA PT018189) | |
2251X0800X Physical Therapist, Orthopedic (Licence: PA PT018189) | |
Enumeration Date | 2006-09-12 |
Last Update Date | 2016-09-30 |