NPI | 1730291220 |
---|---|
Former Name | MICHELLE DEMAI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004823) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT27252) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2014-08-08 |