| NPI | 1831222769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT1629) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: OH PT1629) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2009-12-08 |