NPI | 1861054009 |
---|---|
Former Name | NOELLE B ALICEA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT032749) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2019-07-08 |
Last Update Date | 2024-11-01 |