| NPI | 1750868253 |
|---|---|
| Former Name | MARLENE MORALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212097) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1192610) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2021-01-11 |