NPI | 1992181762 |
---|---|
Former Name | LAUREN J. MARUCA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 4381) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21909) |
Enumeration Date | 2015-08-04 |
Last Update Date | 2018-09-21 |