NPI | 1417425430 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34075) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA1797300) |
225100000X Physical Therapist (Licence: CA 293236) | |
225100000X Physical Therapist (Licence: HI PT-4367) | |
225100000X Physical Therapist (Licence: PA PT023281) | |
Enumeration Date | 2018-11-07 |
Last Update Date | 2018-11-07 |