| NPI | 1841506722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.00011193) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18060) |
| 225100000X Physical Therapist (Licence: IL 070013232) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: CO PTL.00011193) | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2023-04-07 |