NPI | 1538695473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 40642) |
2251N0400X Physical Therapist, Neurology (Licence: CA 40642) | |
2251P0200X Physical Therapist, Pediatrics | |
2251S0007X Physical Therapist, Sports (Licence: CA 40642) | |
2251X0800X Physical Therapist, Orthopedic (Licence: CA 40642) | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2021-01-02 |