NPI | 1659336147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: TX 9410000128) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 944) |
225100000X Physical Therapist (Licence: TX 1051555) | |
Enumeration Date | 2006-04-19 |
Last Update Date | 2019-11-20 |