NPI | 1558817049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT028935) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 4110) |
225100000X Physical Therapist (Licence: MA 21783) | |
225100000X Physical Therapist (Licence: OH PT015273) | |
Enumeration Date | 2016-08-25 |
Last Update Date | 2022-04-18 |