| NPI | 1841926664 |
|---|---|
| Former Name | ANDREA LASKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61374948) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 64595) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2024-08-01 |