NPI | 1861823809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305212762) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 28405) |
Enumeration Date | 2013-12-02 |
Last Update Date | 2019-09-05 |