NPI | 1700965548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MT 1243) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 1243) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2019-06-11 |