NPI | 1225759384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 14514) |
Additional Taxonomies | 225000000X Orthotic Fitter (Licence: PA PT030637) |
Enumeration Date | 2022-09-07 |
Last Update Date | 2024-08-21 |