NPI | 1386766780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01317500) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501012215) |
225100000X Physical Therapist (Licence: MA 17880) | |
2251X0800X Physical Therapist, Orthopedic (Licence: NY 032148) | |
2251X0800X Physical Therapist, Orthopedic | |
225100000X Physical Therapist (Licence: IN 05008574A) | |
Enumeration Date | 2007-04-04 |
Last Update Date | 2017-07-13 |