NPI | 1053868067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 039919) |
Additional Taxonomies | 174400000X Specialist |
225200000X Physical Therapy Assistant (Licence: NY 009436) | |
Enumeration Date | 2016-09-07 |
Last Update Date | 2024-07-16 |