| NPI | 1881064152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT016084) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 039362-1) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |