NPI | 1831573336 |
---|---|
Former Name | ALIX UNGARETTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 30692) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MT ATR-LAT-LIC-1176) |
Enumeration Date | 2015-07-14 |
Last Update Date | 2025-02-05 |