| NPI | 1194902734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 17667) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 29850) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NC 8681) | |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |