| NPI | 1720781636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT031058) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215650) |
| 2251C2600X | |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251N0400X Physical Therapist, Neurology | |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-11-01 |