NPI | 1710064159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5201003625) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2006-11-01 |
Last Update Date | 2022-03-24 |