NPI | 1699952408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT008191L) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00684800) |
Enumeration Date | 2008-01-23 |
Last Update Date | 2018-03-23 |