NPI | 1811438674 |
---|---|
Former Name | VICTORIA MARIE NUNEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NM PT6028) |
225100000X Physical Therapist (Licence: TX 1287623) | |
Enumeration Date | 2017-03-13 |
Last Update Date | 2022-01-18 |