| NPI | 1720743388 |
|---|---|
| Former Name | HOLLY DEBARDELABEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1357079) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2022-02-08 |