NPI | 1255153870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 051194) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 014493) |
Enumeration Date | 2024-10-25 |
Last Update Date | 2025-06-28 |