| NPI | 1811904436 |
|---|---|
| Former Name | ANGELA VASQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 7308) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 7308) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 7308) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |