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 |