| NPI | 1780937037 |
|---|---|
| Former Name | CHRISTINE MAZZUCCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26447) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033573-1) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2019-10-23 |