NPI | 1497093066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: WA PT 00009622) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR PT 3027) |
Enumeration Date | 2013-01-16 |
Last Update Date | 2013-01-16 |