NPI | 1801464029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Additional Taxonomies | 283X00000X Rehabilitation Hospital |
Enumeration Date | 2021-06-14 |
Last Update Date | 2021-06-14 |