NPI | 1730962200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL81044) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 121096) |
225100000X Physical Therapist (Licence: FL PT41172) | |
Enumeration Date | 2023-08-17 |
Last Update Date | 2025-05-22 |