| NPI | 1659658763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CT 007059) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 025293-1) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-12-09 |