NPI | 1356963615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA01816800) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01816800) |
Enumeration Date | 2020-05-10 |
Last Update Date | 2020-05-10 |