| NPI | 1710934005 |
|---|---|
| Former Name | EDA JANE JANUHOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1154679) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: TX 1154579) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1154679) | |
| 2251S0007X Physical Therapist, Sports (Licence: TX 1154679) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1154679) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2024-06-12 |