| NPI | 1154915536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01998800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT029280) |
| 225100000X Physical Therapist | |
| 2251S0007X Physical Therapist, Sports (Licence: PA PT029280) | |
| 2251S0007X Physical Therapist, Sports (Licence: NJ 40QA01998800) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT029280) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01998800) | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2023-09-01 |