NPI | 1720393622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60279447) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: TX 1198721) |
Enumeration Date | 2010-08-16 |
Last Update Date | 2019-02-22 |