| NPI | 1518980234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK PT 464) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: OK PT 464) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: OK PT 464) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: OK PT 464) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-03-31 |