NPI | 1700329505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01965800) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305213803) |
225100000X Physical Therapist (Licence: NY 040957) | |
2251X0800X Physical Therapist, Orthopedic (Licence: NY 040957) | |
Enumeration Date | 2016-11-28 |
Last Update Date | 2020-11-02 |