| NPI | 1437453412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: OH 011263) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: WV 002885) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |