| NPI | 1790838985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 002739) |
| Additional Taxonomies | 2251C2600X Physical Therapist Cardiopulmonary (Licence: OH 002739) |
| 2251G0304X Physical Therapist Geriatrics (Licence: OH PT002739) | |
| 2251H1300X Physical Therapist Human Factors (Licence: OH 002739) | |
| 2251N0400X Physical Therapist Neurology (Licence: OH 002739) | |
| 2251S0007X Physical Therapist Sports (Licence: OH 002739) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: OH 002739) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |