| NPI | 1790917961 |
|---|---|
| Former Name | RAE-ANN REZZUTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5992) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60224684) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2021-03-08 |