| NPI | 1801180583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: TX 1028512) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 1028512) |
| 2251N0400X Physical Therapist Neurology (Licence: TX 1028512) | |
| 2251S0007X Physical Therapist Sports (Licence: TX 1028512) | |
| 2251X0800X Physical Therapist Orthopedic (Licence: TX 1028512) | |
| 225X00000X Occupational Therapist (Licence: UT 112446) | |
| 225XG0600X Occupational Therapist Gerontology (Licence: TX 112446) | |
| 225XN1300X Occupational Therapist Neurorehabilitation (Licence: TX 112446) | |
| 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: TX 112446) | |
| 225XP0200X Occupational Therapist Pediatrics (Licence: TX 112446) | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |