| NPI | 1740472752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT 010539) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: UT 4796194-2401) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2012-01-25 |