| NPI | 1427189760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT 005243) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH PT.005243) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-03-19 |