NPI | 1689738684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 5859) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: FL PT 5859) |
2251X0800X Physical Therapist, Orthopedic (Licence: FL PT 5859) | |
Enumeration Date | 2006-12-21 |
Last Update Date | 2017-02-03 |