NPI | 1740677616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251H1200X Physical Therapist, Hand (Licence: PA PT 006246-L) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT 006246-L) |
Enumeration Date | 2015-04-18 |
Last Update Date | 2015-04-18 |