NPI | 1891036877 |
---|---|
Former Name | JULIANA CECILE SHIMANSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 033234) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033234-1) |
Enumeration Date | 2013-03-15 |
Last Update Date | 2018-12-28 |