NPI | 1255008694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 11702) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040907) |
Enumeration Date | 2021-08-24 |
Last Update Date | 2021-08-24 |