| NPI | 1932733623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213369) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT CP043209T) |
| 225100000X Physical Therapist (Licence: WV CP043210T) | |
| 225100000X Physical Therapist (Licence: SC CP043208T) | |
| 225100000X Physical Therapist (Licence: NC CP043222T) | |
| 225100000X Physical Therapist (Licence: DE CP043211T) | |
| 225100000X Physical Therapist (Licence: GA CP043279T) | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2025-03-26 |