NPI | 1790239895 |
---|---|
Former Name | KARIN DERIGNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2016027645) |
Additional Taxonomies | 273Y00000X Rehabilitation Unit (Licence: MO 2016027645) |
Enumeration Date | 2016-08-08 |
Last Update Date | 2023-06-29 |