NPI | 1568501443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 5257) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 5257) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2009-03-04 |