NPI | 1730417825 |
---|---|
Former Name | CINDY TALISAY SAN ESTEBAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.017598) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT. 012715) |
225100000X Physical Therapist (Licence: KS 11-04044) | |
Enumeration Date | 2009-12-01 |
Last Update Date | 2014-01-09 |