NPI | 1114123551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00007734) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC NC00006636) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2007-07-08 |