NPI | 1841240447 |
---|---|
Former Name | SVETLANA KAGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 41336) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-011877) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2014-10-23 |