| NPI | 1922530583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: OH PT019757) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2022-05-13 |