NPI | 1679197909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 034019) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: ME PT5265) |
225100000X Physical Therapist | |
Enumeration Date | 2020-06-02 |
Last Update Date | 2021-04-26 |