| NPI | 1760967483 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 24699) | 
| Additional Taxonomies | 225100000X Physical Therapist | 
| 2251C2600X | |
| 2251E1200X Physical Therapist, Ergonomics | |
| 2251E1300X Physical Therapist, Electrophysiology, Clinical | |
| 2251H1200X Physical Therapist, Hand | |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251N0400X Physical Therapist, Neurology | |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2018-09-27 | 
| Last Update Date | 2020-12-04 |