NPI | 1467502450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 0017588) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 11217) |
2251X0800X Physical Therapist, Orthopedic (Licence: CO 17588) | |
Enumeration Date | 2007-01-11 |
Last Update Date | 2022-06-23 |