| NPI | 1720359896 |
|---|---|
| Former Name | RACHEL L. RETALLICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 0102203605) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS020867) |
| Enumeration Date | 2012-01-22 |
| Last Update Date | 2024-12-03 |