| NPI | 1255648655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 007377) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 22891) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |