| NPI | 1780743252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: OH 5707) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 5707) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: OH 5707) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: OH 5707) | |
| 2251S0007X Physical Therapist, Sports (Licence: OH 5707) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: OH 5707) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2025-09-11 |