NPI | 1699100594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 27381) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: DC 27381) |
261QP2000X Clinic/Center Physical Therapy (Licence: CO 12209) | |
Enumeration Date | 2013-09-10 |
Last Update Date | 2024-10-07 |