| NPI | 1629527130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20104) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8810) |
| 225100000X Physical Therapist (Licence: TX 1281442) | |
| 225100000X Physical Therapist (Licence: MA 23953) | |
| 225100000X Physical Therapist (Licence: VA 2305210722) | |
| 225100000X Physical Therapist (Licence: GA PT012375) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC LAT-4708) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2022-04-14 |