NPI | 1760509616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AZ 2029) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 2029) |
Enumeration Date | 2007-03-24 |
Last Update Date | 2007-10-27 |