NPI | 1508887035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT10902) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT10902) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2022-11-01 |