| NPI | 1750999637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT028365) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501303154) |
| 225100000X Physical Therapist (Licence: NY 051816) | |
| 225100000X Physical Therapist (Licence: IL 070027982) | |
| 225100000X Physical Therapist (Licence: TX 1387380) | |
| 225100000X Physical Therapist (Licence: CA 306048) | |
| 225100000X Physical Therapist (Licence: OH PT020916) | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2024-07-30 |