| NPI | 1699704692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: OH PT011639) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT011639) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2021-04-16 |