NPI | 1205298239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003416) |
Additional Taxonomies | 225100000X Physical Therapist |
225200000X Physical Therapy Assistant (Licence: CA AT9664) | |
Enumeration Date | 2016-03-29 |
Last Update Date | 2022-05-17 |