NPI | 1215519988 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT41924) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT032266) |
225100000X Physical Therapist (Licence: MN 13686) | |
225100000X Physical Therapist (Licence: NY 045887) | |
Enumeration Date | 2021-04-22 |
Last Update Date | 2024-09-30 |