NPI | 1164779625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CO 9414) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 9414) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2014-06-26 |