| NPI | 1639393853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT011101L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT001458) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: PA PT011101L) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT011101L) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2022-11-12 |