NPI | 1245858604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 27693) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1362349) |
225100000X Physical Therapist (Licence: MO 2020012856) | |
Enumeration Date | 2020-07-10 |
Last Update Date | 2024-08-06 |