| NPI | 1831977016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P25098) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305216106) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: DC PT210002434) | |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2026-08-13 |