NPI | 1710234414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TN 7647) |
Additional Taxonomies | 251E00000X Home Health (Licence: TN 7647) |
Enumeration Date | 2012-08-13 |
Last Update Date | 2012-08-20 |