NPI | 1619279908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 9946) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19285) |
Enumeration Date | 2010-11-19 |
Last Update Date | 2020-05-12 |