NPI | 1760757967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012198) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA PTA002491) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2015-11-24 |