| NPI | 1407143639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 19615) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 2251P0200X Physical Therapist, Pediatrics (Licence: MA 19615) | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2021-09-20 |