NPI | 1750094447 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT39844) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05014447A) |
225100000X Physical Therapist (Licence: CA 304023) | |
225100000X Physical Therapist (Licence: NJ 40QA02018500) | |
225100000X Physical Therapist (Licence: TX 1340584) | |
Enumeration Date | 2022-12-28 |
Last Update Date | 2024-08-19 |