| NPI | 1922322478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05005005A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501009919) |
| 225100000X Physical Therapist (Licence: PA PT017041) | |
| 225700000X Massage Therapist (Licence: IN MT20903191) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |