| 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 |