NPI | 1609948868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT-001907) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: KY PT-001907) |
2251X0800X Physical Therapist, Orthopedic (Licence: KY PT-001907) | |
Enumeration Date | 2006-11-14 |
Last Update Date | 2020-12-08 |