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 |