| NPI | 1194800250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 9257) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 9257) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: CO 9257) | |
| 2251S0007X Physical Therapist, Sports (Licence: CO 9257) | |
| 225X00000X Occupational Therapist (Licence: CO 1074264) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-11-27 |