NPI | 1992955561 |
---|---|
Former Name | DEBORAH RAE SISINNI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT001078E) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 002934) |
225100000X Physical Therapist (Licence: AZ 5756) | |
Enumeration Date | 2008-09-19 |
Last Update Date | 2008-09-19 |