| NPI | 1053898759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013604) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC CP022961T) |
| 225100000X Physical Therapist (Licence: SC CP030242T) | |
| 225100000X Physical Therapist (Licence: VA CP022960T) | |
| 225100000X Physical Therapist (Licence: OH CP024110T) | |
| 225100000X Physical Therapist (Licence: KS T-W0035-3) | |
| 225100000X Physical Therapist (Licence: TN 15271) | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2024-11-15 |