NPI | 1568701597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014429) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1252441) |
225100000X Physical Therapist (Licence: FL PT28102) | |
Enumeration Date | 2013-02-12 |
Last Update Date | 2020-02-11 |