| NPI | 1750566139 |
|---|---|
| Former Name | ALICIA JOY BEARCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 06797) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IA 03882) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |