| NPI | 1689055857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT018873) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: MA 9721) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2015-06-14 |