| NPI | 1518162551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 28311) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 2499) |
| 225100000X Physical Therapist (Licence: CA 29350) | |
| 225100000X Physical Therapist (Licence: VA 2305204104) | |
| 225100000X Physical Therapist (Licence: NC P10020) | |
| 225100000X Physical Therapist (Licence: FL PT22999) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-07-08 |