NPI | 1649692237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 39770) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CA 39770) |
2251S0007X Physical Therapist, Sports (Licence: CA 39770) | |
2251X0800X Physical Therapist, Orthopedic (Licence: CA 39770) | |
Enumeration Date | 2014-01-15 |
Last Update Date | 2014-01-15 |