NPI | 1215088547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 002315) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0057134) |
2251H1200X Physical Therapist, Hand (Licence: CT 002315) | |
2251H1200X Physical Therapist, Hand (Licence: NY 0057134) | |
Enumeration Date | 2007-01-15 |
Last Update Date | 2008-03-08 |