NPI | 1356080972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1361579) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1361579) |
Enumeration Date | 2022-06-01 |
Last Update Date | 2023-10-24 |