| NPI | 1568877751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT-014353) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 014353) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-09-07 |