NPI | 1760105803 |
---|---|
Other Name | JANICE PABELLANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NM PT-2025-0171) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 003939) |
2251G0304X Physical Therapist, Geriatrics (Licence: WV GE210258) | |
Enumeration Date | 2022-09-23 |
Last Update Date | 2025-08-11 |