| NPI | 1003308230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 017513) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: OH 017513) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: OH 017513) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2020-10-19 |