| NPI | 1972988749 |
|---|---|
| Former Name | ELIZABETH PADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13720) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 10566) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2022-03-29 |