NPI | 1407104672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501005076) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.012303) |
Enumeration Date | 2012-08-20 |
Last Update Date | 2012-08-20 |