NPI | 1477668788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207042) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT018301) |
2251X0800X Physical Therapist, Orthopedic (Licence: PA PT018301) | |
Enumeration Date | 2006-08-20 |
Last Update Date | 2012-11-08 |