NPI | 1902014400 |
---|---|
Former Name | DENISE CONSTANDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305005024) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 17897) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2024-09-09 |