NPI | 1790772630 |
---|---|
Former Name | MITZI L RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 13219) |
Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: CO 13219) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2018-12-03 |