NPI | 1841461076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 8280) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: IL 070013392) |
Enumeration Date | 2008-03-15 |
Last Update Date | 2017-10-23 |