NPI | 1922158377 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 01557) |
Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: WA WAPT0000574) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2024-06-19 |