NPI | 1861539850 |
---|---|
Former Name | CECILE CHENELLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 21382) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J1-0002504) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2020-04-30 |