NPI | 1861806788 |
---|---|
Other Name | LAYRA BONETA-AVALOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 10853) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: AZ 10853) |
2251N0400X Physical Therapist, Neurology (Licence: AZ 10853) | |
2251P0200X Physical Therapist, Pediatrics (Licence: AZ 10853) | |
2251S0007X Physical Therapist, Sports (Licence: AZ 10853) | |
2251X0800X Physical Therapist, Orthopedic (Licence: AZ 10853) | |
Enumeration Date | 2014-06-18 |
Last Update Date | 2014-06-18 |