NPI | 1588065957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT33331) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 038058-1) |
2251P0200X Physical Therapist, Pediatrics (Licence: FL PT33331) | |
2251X0800X Physical Therapist, Orthopedic (Licence: FL PT33331) | |
Enumeration Date | 2014-09-04 |
Last Update Date | 2020-04-22 |