NPI | 1487927448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011004) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034534) |
2251P0200X Physical Therapist, Pediatrics | |
Enumeration Date | 2012-02-21 |
Last Update Date | 2022-10-04 |