| NPI | 1053755769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: UT 2775252401) |
| Additional Taxonomies | 2251C2600X Physical Therapist Cardiopulmonary (Licence: UT 2775252401) |
| 2251G0304X Physical Therapist Geriatrics (Licence: UT 2775252401) | |
| 2251H1200X Physical Therapist Hand (Licence: UT 2775252401) | |
| 2251N0400X Physical Therapist Neurology (Licence: UT 2775252401) | |
| 2251P0200X Physical Therapist Pediatrics (Licence: UT 2775252401) | |
| 2251S0007X Physical Therapist Sports (Licence: UT 2775252401) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: UT 2775252401) | |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |