NPI | 1821245986 |
---|---|
Former Name | ZOE MARIE GIWOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 35348) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18269) |
Enumeration Date | 2008-08-20 |
Last Update Date | 2016-11-09 |