NPI | 1083638316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207230) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1154270) |
225100000X Physical Therapist (Licence: IL 070015810) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2012-02-13 |