NPI | 1811036684 |
---|---|
Former Name | ARIANNE R DE GANNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070025311) |
Additional Taxonomies | 225100000X Physical Therapist |
225100000X Physical Therapist (Licence: CT 009963) | |
225100000X Physical Therapist (Licence: FL PT21075) | |
Enumeration Date | 2007-02-06 |
Last Update Date | 2021-06-08 |