NPI | 1215983309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0014540) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 009937) |
2251X0800X Physical Therapist, Orthopedic (Licence: NY 026539) | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2017-11-06 |