| NPI | 1942409149 |
|---|---|
| Former Name | VICTORIA DIMONT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: NY 032969) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT15239) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2010-10-13 |