NPI | 1497061642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 36762) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ZZ 17904) |
225200000X Physical Therapy Assistant (Licence: CA 8839) | |
Enumeration Date | 2010-08-26 |
Last Update Date | 2019-02-20 |