| NPI | 1902297906 |
|---|---|
| Former Name | MARY ANN DREZA ALINO BUENAVENTURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT000839) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 000839) |
| 225100000X Physical Therapist (Licence: VA 0105003469) | |
| 225100000X Physical Therapist (Licence: WI 13262-24) | |
| 225100000X Physical Therapist (Licence: GA PT003437) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2022-12-23 |