| NPI | 1851887327 |
|---|---|
| Former Name | MAEVRYL CHARM ERCE MANGUSSAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP025606T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10316) |
| 225100000X Physical Therapist (Licence: CT 011207) | |
| 225100000X Physical Therapist (Licence: VA CP042381T) | |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2025-04-10 |