| NPI | 1306375472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: ME PT4870) |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: VT 040.0133970) |
| 2251G0304X Physical Therapist Geriatrics (Licence: MA 26213) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: NH 4911) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-07-28 |