| 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 |