| NPI | 1407198955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P22526) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT018427) |
| 225200000X Physical Therapy Assistant (Licence: OH 08714) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2023-11-22 |