| NPI | 1699913673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL 25823) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 029175) |
| 2251S0007X Physical Therapist, Sports (Licence: NY 029175) | |
| 2251S0007X Physical Therapist, Sports (Licence: FL 25823) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 029175) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: FL 25823) | |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2019-07-11 |