| NPI | 1548653611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501014039) |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: MI 195930) |
| 225100000X Physical Therapist (Licence: MI 195930) | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: MI 195930) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: MI 5501014039) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501014039) | |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2025-02-04 |