| NPI | 1366428518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH LPT09645) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| 2251X0800X Physical Therapist, Orthopedic (Licence: OH LPT09645) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2007-07-08 |