| NPI | 1962748772 |
|---|---|
| Former Name | MALLORY ROJEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 11338) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501016136) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2016-01-18 |