| NPI | 1568876860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: OH PT014824) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT014824) |
| 2251X0800X Physical Therapist Orthopedic (Licence: OH 014824) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2025-04-10 |