NPI | 1033997317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT016883) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA 016883) |
Enumeration Date | 2023-09-19 |
Last Update Date | 2023-09-19 |