NPI | 1942285028 |
---|---|
Former Name | ANDREA MARIE SOBAJIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: TN PT000009800) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 25646) |
Enumeration Date | 2005-12-12 |
Last Update Date | 2021-11-10 |