NPI | 1942367891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: AZ 5418) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CA 29327) |
2251S0007X Physical Therapist, Sports (Licence: FL 23383) | |
2251S0007X Physical Therapist, Sports (Licence: NV 2144) | |
Enumeration Date | 2007-01-02 |
Last Update Date | 2007-09-15 |