NPI | 1629407846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: DE J1-0002764) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT023138) |
Enumeration Date | 2013-11-07 |
Last Update Date | 2014-01-28 |