NPI | 1225193873 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 0400002235) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 0400002630) |
225200000X Physical Therapy Assistant (Licence: VT 0410000278) | |
Enumeration Date | 2006-12-26 |
Last Update Date | 2007-07-08 |