| NPI | 1821114679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 008114) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029094) |
| 225100000X Physical Therapist (Licence: MD 22179) | |
| 225100000X Physical Therapist (Licence: PA PT018696) | |
| 225100000X Physical Therapist (Licence: FL 23783) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-05-18 |