| NPI | 1245486042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: NY 012575-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 012575-1) |
| 2251N0400X Physical Therapist Neurology (Licence: NY 012575-1) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |