NPI | 1669667648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT 23560) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT 23560) |
Enumeration Date | 2007-09-12 |
Last Update Date | 2007-09-12 |