NPI | 1942614680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214844) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ PT40QA01632200) |
225100000X Physical Therapist (Licence: MD 27648) | |
Enumeration Date | 2014-06-19 |
Last Update Date | 2022-01-19 |