| NPI | 1801811138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 004892) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: KY 004892) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: KY 004892) | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-01-11 |