NPI | 1881993384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: CO 3499) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: CO 3499) |
261QP2000X Clinic/Center, Physical Therapy (Licence: CO 3499) | |
Enumeration Date | 2011-03-23 |
Last Update Date | 2018-06-13 |