| NPI | 1871074179 |
|---|---|
| Former Name | CAITLIN ELAINE ABUSAMRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 21175) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 294945) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2022-04-19 |