| NPI | 1730628736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT016207) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 10875) |
| 225100000X Physical Therapist (Licence: SC 8370) | |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |