| NPI | 1629486279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070019077) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034502) |
| 225100000X Physical Therapist (Licence: OH PT.014941) | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |