NPI | 1770226607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 261QP2000X) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1324401) |
Enumeration Date | 2022-04-19 |
Last Update Date | 2022-04-19 |