| NPI | 1023207990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 9093) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: LA 02332R) |
| 225100000X Physical Therapist (Licence: AZ 3489) | |
| 225100000X Physical Therapist (Licence: NM 1812) | |
| 225100000X Physical Therapist (Licence: FL 0011778) | |
| 225100000X Physical Therapist (Licence: MT 971) | |
| 225100000X Physical Therapist (Licence: WY 652) | |
| 225100000X Physical Therapist (Licence: UT 95-293927-2401) | |
| 225100000X Physical Therapist (Licence: WA 6251) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |