NPI | 1437449519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 038750-01) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1185628) |
225100000X Physical Therapist (Licence: VA 2305205213) | |
Enumeration Date | 2011-04-11 |
Last Update Date | 2022-02-08 |