| NPI | 1265079578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: OH PT013998) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT013998) |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-16 |