NPI | 1699405670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38377) |
Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: FL PT38377) |
2251X0800X Physical Therapist Orthopedic (Licence: FL PT38377) | |
Enumeration Date | 2022-06-13 |
Last Update Date | 2022-06-13 |