| NPI | 1972691947 |
|---|---|
| Former Name | DOLORES CHRISTINE DELA CONCEPCION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P14823) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT22947) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-12-22 |