| NPI | 1649899675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OR 61415) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: OR 61415) |
| 2251N0400X Physical Therapist, Neurology (Licence: OR 61415) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: OR 61415) | |
| 2251S0007X Physical Therapist, Sports (Licence: OR 61415) | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |