NPI | 1811612138 |
---|---|
Other Name | SHERYSSE JOSEL YNCHAUSTI GUANZING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 044300) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 011958) |
Enumeration Date | 2022-10-10 |
Last Update Date | 2024-06-03 |