| NPI | 1891779765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: GA pt007509) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA pt007509) |
| 2251E1200X Physical Therapist, Ergonomics (Licence: GA pt007509) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: GA pt007509) | |
| 2251N0400X Physical Therapist, Neurology (Licence: GA pt007509) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2010-09-25 |