NPI | 1467765859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 030810) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0308101) |
Enumeration Date | 2010-07-14 |
Last Update Date | 2021-10-14 |