| NPI | 1942668884 |
|---|---|
| Former Name | ALEXANDRA FARAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 12871-24) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 12871) |
| Enumeration Date | 2016-02-07 |
| Last Update Date | 2017-11-17 |