NPI | 1144567066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 014027-01) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00518000) |
Enumeration Date | 2013-01-11 |
Last Update Date | 2021-06-07 |