NPI | 1821389859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0003484) |
Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: VT 040.0003484) |
2251P0200X Physical Therapist Pediatrics (Licence: VT 040.0003484) | |
Enumeration Date | 2011-04-25 |
Last Update Date | 2011-04-25 |