NPI | 1588734636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 18437) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT 18437) |
2251G0304X Physical Therapist, Geriatrics (Licence: CA PT 18437) | |
Enumeration Date | 2006-11-08 |
Last Update Date | 2020-05-29 |