NPI | 1326292483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 020304) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 020304) |
Enumeration Date | 2008-11-15 |
Last Update Date | 2008-11-15 |