| NPI | 1851849087 |
|---|---|
| Former Name | CHELSEA GENDVIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01698600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040490) |
| 225100000X Physical Therapist (Licence: VA 2305210574) | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2024-05-08 |