NPI | 1841499514 |
---|---|
Former Name | AMBER QUESNEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 70015335) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 16393) |
Enumeration Date | 2007-07-13 |
Last Update Date | 2009-02-05 |