| NPI | 1992181846 |
|---|---|
| Former Name | EMILY DANA BESANCENEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015184) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2015027159) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2018-06-18 |