NPI | 1104594589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT020831) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT004426) |
Enumeration Date | 2021-09-01 |
Last Update Date | 2024-05-06 |