NPI | 1134872864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PTA31800) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PTA31800) |
Enumeration Date | 2022-02-02 |
Last Update Date | 2022-02-02 |