| NPI | 1730498825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: DC 872568) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT29806) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: FL 29806) | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2021-03-12 |