NPI | 1750511614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009597) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 7716) |
225100000X Physical Therapist (Licence: WA 60002785) | |
225100000X Physical Therapist (Licence: MD 22806) | |
225100000X Physical Therapist (Licence: NE 2705) | |
Enumeration Date | 2009-07-24 |
Last Update Date | 2009-07-24 |