NPI | 1659367126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT017212) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: PA PT017212) |
2251X0800X Physical Therapist, Orthopedic (Licence: PA PT017212) | |
Enumeration Date | 2005-09-21 |
Last Update Date | 2016-03-11 |