| NPI | 1750365789 |
|---|---|
| Former Name | JUDY ELIZABETH SPANIOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00005205) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 1499) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2012-11-12 |