NPI | 1639407307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 25823) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CA PT 25823) |
2251P0200X Physical Therapist, Pediatrics (Licence: CA PT 25823) | |
2251S0007X Physical Therapist, Sports (Licence: CA PT 25823) | |
2251X0800X Physical Therapist, Orthopedic (Licence: CA PT 25823) | |
Enumeration Date | 2009-11-18 |
Last Update Date | 2024-09-23 |