NPI | 1598266264 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60830888) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1289460) |
225100000X Physical Therapist (Licence: OR 62488) | |
Enumeration Date | 2018-02-27 |
Last Update Date | 2018-02-27 |