NPI | 1801019708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT19571) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT19571) |
225100000X Physical Therapist (Licence: NC P17203) | |
2251X0800X Physical Therapist, Orthopedic (Licence: OH PT020341) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2023-06-29 |