| NPI | 1770860397 |
|---|---|
| Former Name | DANA CASEY NAZARECHUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 045521) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01238400) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2021-03-16 |