NPI | 1366622219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9827) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CO 9827) |
2251N0400X Physical Therapist, Neurology (Licence: CO 9827) | |
2251X0800X Physical Therapist, Orthopedic (Licence: CO 9827) | |
Enumeration Date | 2007-11-08 |
Last Update Date | 2020-01-23 |