NPI | 1952880957 |
---|---|
Former Name | RACHEL ELIZABETH GAZDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 4150) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1307451) |
Enumeration Date | 2018-08-09 |
Last Update Date | 2025-07-02 |