NPI | 1215355987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT29086) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 9976) |
225100000X Physical Therapist (Licence: TX 1241350) | |
Enumeration Date | 2014-03-31 |
Last Update Date | 2018-03-17 |