NPI | 1770964330 |
---|---|
Former Name | EMILY DANIELLE GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-07769) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2015016463) |
225100000X Physical Therapist (Licence: MO 2024045331) | |
Enumeration Date | 2015-06-09 |
Last Update Date | 2025-06-19 |