NPI | 1992120083 |
---|---|
Former Name | MARTHA FURTEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 12654) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 12595-24) |
Enumeration Date | 2014-02-26 |
Last Update Date | 2020-08-19 |