| NPI | 1386744233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT4564) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT004564) |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-01-30 |