| NPI | 1669626305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501012951) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00010281) |
| 225100000X Physical Therapist (Licence: MA 17978) | |
| 225100000X Physical Therapist (Licence: VA 2305205402) | |
| 225100000X Physical Therapist (Licence: CO 10064) | |
| 225100000X Physical Therapist (Licence: CA 35037) | |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |