| NPI | 1881995215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: CA PT 12492) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 12492) |
| 2251C2600X Physical Therapist, Cardiopulmonary (Licence: CA PT 12492) | |
| 2251E1200X Physical Therapist, Ergonomics (Licence: CA PT 12492) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT 12492) | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |