| NPI | 1831371095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: OH 011377) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 011377) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |