NPI | 1841642915 |
---|---|
Former Name | LISA KELLY FRANCIOTTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 61629) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA 024717) |
225100000X Physical Therapist (Licence: NJ 40QA01935700) | |
Enumeration Date | 2016-07-12 |
Last Update Date | 2023-11-06 |