| NPI | 1568463271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT 4293) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: OH 1041100163) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: OH 8218) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2008-02-12 |