NPI | 1679940423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: MD 20856) |
Additional Taxonomies | 2251C2600X Physical Therapist, Cardiopulmonary (Licence: MD 20856) |
2251N0400X Physical Therapist, Neurology (Licence: MD 20856) | |
2251X0800X Physical Therapist, Orthopedic (Licence: MD 20856) | |
Enumeration Date | 2015-08-27 |
Last Update Date | 2015-08-27 |