| NPI | 1952798605 |
|---|---|
| Former Name | TRICA JOHANNA REGALADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1251572) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2024-08-07 |