| NPI | 1760891428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT014947) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| 2251N0400X Physical Therapist, Neurology | |
| 2251H1200X Physical Therapist, Hand | |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2015-12-08 |