NPI | 1205213618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P23535) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7029) |
225100000X Physical Therapist (Licence: GA PT011825) | |
Enumeration Date | 2015-05-05 |
Last Update Date | 2024-09-08 |