NPI | 1598074072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009953) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 23273) |
225100000X Physical Therapist (Licence: DE J1-0002302) | |
Enumeration Date | 2010-09-30 |
Last Update Date | 2016-03-08 |