NPI | 1861062895 |
---|---|
Former Name | DAILENIS PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA30033) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-23-307439) |
Enumeration Date | 2021-06-30 |
Last Update Date | 2023-11-05 |