NPI | 1598118127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 31964) |
Additional Taxonomies | 225100000X Physical Therapist |
225100000X Physical Therapist (Licence: CO 14038) | |
2251X0800X Physical Therapist, Orthopedic (Licence: CO PTL.0014038) | |
Enumeration Date | 2016-07-19 |
Last Update Date | 2022-02-23 |