| NPI | 1558332122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT-10782) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT-10782) |
| 225100000X Physical Therapist (Licence: TN 2896324) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: OH PT-10782) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: TN 2896324) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: TN 2896324) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2009-02-12 |