NPI | 1932616406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT38183) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 300084) |
225100000X Physical Therapist | |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: LA 306003) | |
Enumeration Date | 2018-01-05 |
Last Update Date | 2023-12-05 |