| NPI | 1831534338 |
|---|---|
| Former Name | ELISA CHRISTINE SEBASTYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7479) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 3789) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2016-07-27 |