NPI | 1932554698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 039222) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 008294) |
Enumeration Date | 2016-05-02 |
Last Update Date | 2016-05-02 |