NPI | 1821420340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NH 3884) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040.0094760) |
225100000X Physical Therapist (Licence: ME PT5925) | |
Enumeration Date | 2013-08-07 |
Last Update Date | 2021-06-01 |