| NPI | 1164778676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT013856) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2024-11-07 |