NPI | 1225442809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036477-1) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023123) |
225100000X Physical Therapist (Licence: MA 21052) | |
225100000X Physical Therapist (Licence: CA PT41316) | |
Enumeration Date | 2014-06-11 |
Last Update Date | 2014-06-11 |