NPI | 1235512377 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203196) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 2369) |
225100000X Physical Therapist (Licence: GA PT004376) | |
Enumeration Date | 2015-07-07 |
Last Update Date | 2015-07-07 |