NPI | 1710527155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00722200) |
Enumeration Date | 2020-01-14 |
Last Update Date | 2020-01-14 |