| NPI | 1699037598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035136-1) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 008213-1) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-08-20 |