NPI | 1245282805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT01692) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA PT9234) |
225100000X Physical Therapist (Licence: CA PT11336) | |
Enumeration Date | 2006-05-16 |
Last Update Date | 2007-07-08 |