NPI | 1316035165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00280000) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00377600) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2008-11-17 |