NPI | 1760438014 |
---|---|
Former Name | CINDY LEE LANZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0232021) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: NY 0232021) |
2251X0800X Physical Therapist, Orthopedic (Licence: NY 0232021) | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2007-07-08 |