| NPI | 1053374348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CT 005714) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: VA 2305208613) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305208613) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MA 11050) | |
| Enumeration Date | 2006-04-09 |
| Last Update Date | 2018-06-20 |