| NPI | 1912634270 |
|---|---|
| Former Name | ELISE MARIE DELAHOUSSAYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 11223) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2025-01-23 |