| NPI | 1548469083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: PA PT007257L) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: NJ 40A01017200) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: NY 024834-1) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT-007257-L) | |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2007-07-15 |