| NPI | 1215967930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251N0400X Physical Therapist Neurology (Licence: VA 2305203286) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: VA 2305203286) |
| 2251S0007X Physical Therapist Sports (Licence: VA 2305203286) | |
| 2251P0200X Physical Therapist Pediatrics (Licence: VA 2305203286) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-05-22 |