NPI | 1912544743 |
---|---|
Former Name | ELEANOR MANUEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI006365) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 012341) |
Enumeration Date | 2019-11-27 |
Last Update Date | 2023-10-10 |