NPI | 1801129143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305210444) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 12247) |
225100000X Physical Therapist (Licence: OR 6579) | |
Enumeration Date | 2009-09-17 |
Last Update Date | 2016-08-22 |