| NPI | 1760411557 |
|---|---|
| Former Name | AGNES AYAP MACATANGAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: WA PT00010714) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT22644) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2015-09-01 |