| NPI | 1033624846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: PA PT001131E) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: PA PT001131E) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT001131E) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT001131E) | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |