NPI | 1811657182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT030078) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT030078) |
Enumeration Date | 2021-12-28 |
Last Update Date | 2024-07-18 |