NPI | 1992137657 |
---|---|
Former Name | MARIA SOLEDAD L. DELOS REYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P12892) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 26924) |
Enumeration Date | 2013-08-05 |
Last Update Date | 2019-04-24 |