NPI | 1598994352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ME PT1512) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT304636) |
225100000X Physical Therapist (Licence: GA PT015704) | |
Enumeration Date | 2009-07-14 |
Last Update Date | 2025-01-09 |