NPI | 1912642984 |
---|---|
Former Name | ABIGAIL HERNANDEZ CRUZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070027064) |
Additional Taxonomies | 225100000X Physical Therapist |
225100000X Physical Therapist | |
Enumeration Date | 2022-05-03 |
Last Update Date | 2025-07-16 |