NPI | 1558608414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 302931) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
225200000X Physical Therapy Assistant (Licence: NY 008350) | |
225100000X Physical Therapist (Licence: NY 035798) | |
225100000X Physical Therapist (Licence: MD 24368) | |
Enumeration Date | 2013-01-12 |
Last Update Date | 2025-07-18 |