| NPI | 1376811679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.013555) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26453) |
| 225100000X Physical Therapist (Licence: AZ 9238) | |
| 225100000X Physical Therapist (Licence: NY 033433-1) | |
| 225100000X Physical Therapist (Licence: TX 1216773) | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2015-01-20 |