| NPI | 1831516566 |
|---|---|
| Former Name | JUSTYNA ZMYSLONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031528) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 031528) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2020-08-07 |