NPI | 1922401405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT#5400) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: OH PT#5400) |
Enumeration Date | 2014-09-29 |
Last Update Date | 2014-09-29 |