| NPI | 1780854315 |
|---|---|
| Former Name | MICHELLE M GARTELOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-0116257) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004219) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2012-04-12 |