| NPI | 1235600859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT014578) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT014578) |
| 2251S0007X Physical Therapist, Sports (Licence: OH PT014578) | |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |