NPI | 1417281908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 10780R) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 242722) |
225100000X Physical Therapist (Licence: OR 6054) | |
Enumeration Date | 2009-09-30 |
Last Update Date | 2020-10-20 |