| NPI | 1548084395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO PTL0020235) |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-13 |