NPI | 1780948125 |
---|---|
Former Name | GISELLE SALUGAO DEL ROSARIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 38119) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 25075) |
Enumeration Date | 2012-06-29 |
Last Update Date | 2022-02-11 |