NPI | 1629192497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: WA PT00009853) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT00009853) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2017-01-03 |