NPI | 1770514218 |
---|---|
Former Name | KAREN RICCIARDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J10001674) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023089) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2015-03-20 |