NPI | 1821055724 |
---|---|
Former Name | NICOLE GINETTE MORIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06834) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22938) |
225100000X Physical Therapist (Licence: FL PT22633) | |
Enumeration Date | 2006-04-26 |
Last Update Date | 2021-07-08 |