| NPI | 1730416678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: MS PT-6066) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: NC 12760) |
| 2251X0800X Physical Therapist Orthopedic (Licence: NC 12760) | |
| 2251N0400X Physical Therapist Neurology (Licence: NC 12760) | |
| 2251G0304X Physical Therapist Geriatrics (Licence: NC 12760) | |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2016-08-22 |