NPI | 1659321891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT 2959) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA 1998) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2023-09-23 |