| NPI | 1932156361 |
|---|---|
| Former Name | AIMEE JEANNE DALLAIRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 13214) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT01487) |
| 225100000X Physical Therapist (Licence: CA 36802) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2012-10-14 |