NPI | 1457508129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 15644) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 23397) |
Enumeration Date | 2008-08-25 |
Last Update Date | 2008-08-25 |