| NPI | 1649717604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 31322) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT014404) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |