| NPI | 1255647012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01496700) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 032977) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2016-04-13 |