NPI | 1770696627 |
---|---|
Former Name | BERNADETTE M. MARSIGLIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 19443) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 10323-024) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2020-04-23 |