NPI | 1245510650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20019) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26723) |
Enumeration Date | 2011-08-17 |
Last Update Date | 2012-09-27 |