NPI | 1659403640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 11188) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT01708) |
225100000X Physical Therapist (Licence: ME PT3250) | |
Enumeration Date | 2007-03-12 |
Last Update Date | 2007-07-08 |