| NPI | 1336323856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: OH PT010084) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: KY 004266) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2018-04-06 |