NPI | 1881879104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 008422) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CT 008422) |
225100000X Physical Therapist (Licence: PA 019455) | |
Enumeration Date | 2008-01-05 |
Last Update Date | 2014-08-25 |