NPI | 1962859207 |
---|---|
Former Name | ELENA ROSE VOGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33526) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305210188) |
Enumeration Date | 2016-05-17 |
Last Update Date | 2019-10-31 |