| NPI | 1780112409 |
|---|---|
| Former Name | PRISCILLA LEA PAOLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06696) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5284) |
| 225100000X Physical Therapist (Licence: MO 2017029165) | |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2023-02-27 |