| NPI | 1205347010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT013601) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 180405) |
| 225100000X Physical Therapist (Licence: FL PT37759) | |
| 225100000X Physical Therapist (Licence: WI 15713-24) | |
| 225100000X Physical Therapist (Licence: MD 28694) | |
| 225100000X Physical Therapist (Licence: AL PTH10598) | |
| 225100000X Physical Therapist (Licence: NY 048408) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 225100000X Physical Therapist (Licence: NM PT6015) | |
| 225100000X Physical Therapist (Licence: ID PT-7945) | |
| 225100000X Physical Therapist (Licence: WY PT-2141) | |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2022-03-16 |