| NPI | 1427305614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT. 013731) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: OH PT. 013731) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT. 013731) | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2016-09-26 |