NPI | 1508160789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 1551) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: MA 1551) |
Enumeration Date | 2011-01-03 |
Last Update Date | 2011-01-03 |