NPI | 1629449491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: DC PT210002522) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 25998) |
225200000X Physical Therapy Assistant (Licence: DC PTA000204) | |
Enumeration Date | 2015-10-19 |
Last Update Date | 2025-05-08 |