| NPI | 1558751255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KY 264240) |
| 2251G0304X Physical Therapist Geriatrics | |
| 2251N0400X Physical Therapist Neurology | |
| 225XE0001X Occupational Therapist Environmental Modification (Licence: KY 264240) | |
| 225XH1200X Occupational Therapist Hand (Licence: KY 264240) | |
| 225XN1300X Occupational Therapist Neurorehabilitation (Licence: KY 264240) | |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2023-11-14 |