| NPI | 1750497822 |
|---|---|
| Former Name | ANGELA EGNISABAN CORVERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 4705) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 15088) |
| 225100000X Physical Therapist (Licence: CO 4863) | |
| 225100000X Physical Therapist (Licence: WA PT00009440) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2021-12-27 |