| NPI | 1881700854 |
|---|---|
| Former Name | JEANINE MARIE AMATO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030491) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007950) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2017-05-12 |