| NPI | 1518756527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: KY 009300) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: KY 009300) |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-07-21 |