NPI | 1629146956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040-0003285) |
Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: VT 0040-0003285) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2007-07-08 |