NPI | 1366083503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01892600) |
Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: NJ 40QA01892600) |
2251S0007X Physical Therapist Sports (Licence: NJ 40QA01892600) | |
2251X0800X Physical Therapist Orthopedic (Licence: NJ 40QA01892600) | |
Enumeration Date | 2019-09-30 |
Last Update Date | 2023-07-17 |