| NPI | 1699809012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL PT13583) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT 13583) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT 13583) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-06-05 |