NPI | 1134837875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 29217) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DE CP022275T) |
261QR0400X Clinic/Center, Rehabilitation (Licence: DE CP022275T) | |
Enumeration Date | 2022-11-11 |
Last Update Date | 2023-10-12 |