NPI | 1942384151 |
---|---|
Former Name | NICOLE RAE MERCALDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 008351) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8380) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2008-09-05 |