NPI | 1942493192 |
---|---|
Former Name | AMANDA MANZOEILLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8812) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015359) |
Enumeration Date | 2007-08-21 |
Last Update Date | 2017-11-13 |