| NPI | 1780837492 |
|---|---|
| Former Name | KRISTA MARLENE FRATANGELO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 63 012556) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 66 004176) |
| Enumeration Date | 2008-10-25 |
| Last Update Date | 2008-10-25 |