NPI | 1396182598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.019783) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 29043) |
225100000X Physical Therapist (Licence: IN 05011074A) | |
Enumeration Date | 2013-05-28 |
Last Update Date | 2015-01-22 |