| NPI | 1639376833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT006636) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 0701487) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2023-07-06 |