NPI | 1164056636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA CP010823T) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH pt018507) |
225100000X Physical Therapist (Licence: AL PTH10993) | |
Enumeration Date | 2020-02-24 |
Last Update Date | 2022-08-12 |