| NPI | 1568757581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040-0002673) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 010164-1) |
| 225100000X Physical Therapist (Licence: MA 8337) | |
| 225100000X Physical Therapist (Licence: PA 009505) | |
| 225100000X Physical Therapist (Licence: CT 007812) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |