NPI | 1679022123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 108403) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 61478) |
225100000X Physical Therapist (Licence: AZ 11011) | |
225100000X Physical Therapist (Licence: NY 037144) | |
225100000X Physical Therapist (Licence: CO PTL.0014076) | |
225100000X Physical Therapist (Licence: CA 41872) | |
Enumeration Date | 2016-09-26 |
Last Update Date | 2018-02-23 |