| NPI | 1609537661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL27696) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT40042) |
| 225100000X Physical Therapist (Licence: IN 05015145A) | |
| 225100000X Physical Therapist (Licence: AZ LPT32112) | |
| 225100000X Physical Therapist (Licence: TX 1353003) | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2024-07-17 |