| NPI | 1548038961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT033895) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040-0134803) |
| 225100000X Physical Therapist (Licence: NY 050886) | |
| 225100000X Physical Therapist (Licence: VA 2305216202) | |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2026-01-26 |