| NPI | 1629283353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT6840) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204640) |
| 225100000X Physical Therapist (Licence: SC 5370) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |