NPI | 1861876609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 41961) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1250638) |
225100000X Physical Therapist (Licence: HI 4010) | |
Enumeration Date | 2015-07-10 |
Last Update Date | 2015-07-10 |