NPI | 1174707376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 9420) |
Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: MA 9420) |
Enumeration Date | 2007-12-24 |
Last Update Date | 2007-12-24 |