NPI | 1821435272 |
---|---|
Former Name | CYNTHIA MARQUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61829) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 26702) |
Enumeration Date | 2013-05-24 |
Last Update Date | 2017-01-20 |