NPI | 1932342342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT29087) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009221) |
261QP2000X Clinic/Center, Physical Therapy (Licence: FL PT29085) | |
Enumeration Date | 2009-04-15 |
Last Update Date | 2019-01-24 |