| NPI | 1538591649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5393) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3254) |
| 225100000X Physical Therapist (Licence: IA 076040) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NE 3254) | |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2018-06-14 |