| NPI | 1558684753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 15204) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT9109) |
| 225100000X Physical Therapist (Licence: SC 7517) | |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2017-03-15 |