NPI | 1083998512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 6541) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 6541) |
2251S0007X Physical Therapist, Sports (Licence: OR 6541) | |
Enumeration Date | 2011-10-03 |
Last Update Date | 2011-10-03 |