| NPI | 1770922411 |
|---|---|
| Former Name | CHRISTINA ANN MAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 8919A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 9794) |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2013-06-16 |