| NPI | 1790199883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: CO PTL.0014063) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-020768) |
| 225100000X Physical Therapist (Licence: CO PTL.0014063) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0001579) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2022-09-29 |