NPI | 1699943365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501012532) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 34433) |
225100000X Physical Therapist (Licence: IN 05008820A) | |
225100000X Physical Therapist (Licence: NY 029455) | |
Enumeration Date | 2008-02-15 |
Last Update Date | 2008-02-15 |