| NPI | 1548606825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CO 4747) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 4747) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2017-10-10 |