NPI | 1649661208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO PTL.0010933) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: AZ 11369) |
Enumeration Date | 2015-02-17 |
Last Update Date | 2015-02-17 |