| NPI | 1952760274 |
|---|---|
| Former Name | STEPHANIE MARIE LAGANIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT872597) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305209800) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2020-02-12 |