| NPI | 1083985444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: OH 011678) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: KY 005030) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: WV 002803) | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |