| NPI | 1497182778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT015100) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501016337) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2021-01-14 |