NPI | 1811757545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 305593) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
2251S0007X Physical Therapist, Sports | |
2251C2600X | |
2251G0304X Physical Therapist, Geriatrics | |
2251N0400X Physical Therapist, Neurology | |
2251X0800X Physical Therapist, Orthopedic | |
Enumeration Date | 2024-03-20 |
Last Update Date | 2025-01-24 |