NPI | 1790798122 |
---|---|
Former Name | GINA ANN MARRAMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34508) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT015301) |
225100000X Physical Therapist (Licence: NJ PT49QA01134800) | |
Enumeration Date | 2006-08-15 |
Last Update Date | 2021-03-01 |