| NPI | 1588290134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 045561-01) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 045561-01) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2022-01-06 |