NPI | 1477921906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AL PTH7184) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AL pth7184) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2015-09-15 |