NPI | 1831383512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 0013153) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT33841) |
Enumeration Date | 2007-09-05 |
Last Update Date | 2018-07-02 |