| NPI | 1689630360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT011062) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: OH 11062) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2024-09-21 |