NPI | 1891130142 |
---|---|
Former Name | STEPHANIE GIANNOTTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT022457) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT022457) |
Enumeration Date | 2013-04-30 |
Last Update Date | 2019-11-25 |