NPI | 1235320227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT-10334) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: OH AT-2119) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2012-03-16 |