| NPI | 1164759734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 16966) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 8377) |
| 225100000X Physical Therapist (Licence: CA 34003) | |
| 225100000X Physical Therapist (Licence: TX 1188240) | |
| 225100000X Physical Therapist (Licence: IL 070.017015) | |
| 225100000X Physical Therapist (Licence: CO 10149) | |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |