NPI | 1598175937 |
---|---|
Other Name | MARY THERESE LHOTAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.019882) |
Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: IL 070.019882) |
2251X0800X Physical Therapist, Orthopedic (Licence: IL 070.019882) | |
Enumeration Date | 2014-05-07 |
Last Update Date | 2019-09-03 |