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 |