NPI | 1881030195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT022508) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034618) |
225100000X Physical Therapist (Licence: IL 070019045) | |
Enumeration Date | 2013-05-14 |
Last Update Date | 2013-05-14 |