NPI | 1992303499 |
---|---|
Former Name | ROLIN YOUSEFYAN TAKIEH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1356049) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61067139) |
225100000X Physical Therapist (Licence: IL 070-026294) | |
Enumeration Date | 2020-10-15 |
Last Update Date | 2023-11-17 |