NPI | 1922672096 |
---|---|
Former Name | ANITHA SUBHASH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 32931) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT32931) |
Enumeration Date | 2021-05-13 |
Last Update Date | 2023-11-06 |