| NPI | 1922588243 |
|---|---|
| Former Name | THAO MAI 1679123582 |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60881077) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 291660) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2022-08-10 |