NPI | 1255565677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 011721) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18356) |
225100000X Physical Therapist (Licence: CA 34670) | |
225100000X Physical Therapist (Licence: TX 1180090) | |
Enumeration Date | 2009-05-13 |
Last Update Date | 2009-05-13 |