| NPI | 1558788190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH 7336) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 7336) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2018-08-07 |