NPI | 1821290578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 0214651) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 021465) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2020-12-15 |