| NPI | 1346288172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: PA PT008642L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT008642L) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-07-08 |