| NPI | 1881699122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT06454) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: KY PT002813) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2013-12-18 |