NPI | 1891197430 |
---|---|
Former Name | AMY CORAZZARI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 10023-024) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 10023-024) |
Enumeration Date | 2014-09-25 |
Last Update Date | 2025-06-23 |