NPI | 1407301864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 296578) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT025129) |
225100000X Physical Therapist (Licence: DE J1-0003407) | |
Enumeration Date | 2016-08-15 |
Last Update Date | 2024-10-12 |