NPI | 1578673000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 15652) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032692-1) |
225100000X Physical Therapist (Licence: CT 006890) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2012-12-17 |