NPI | 1841770278 |
---|---|
Former Name | REBECCA TYRPAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212242) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305212242) |
Enumeration Date | 2018-08-15 |
Last Update Date | 2024-08-01 |