| NPI | 1952590564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT.011658) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: OH PT.011658) |
| 225X00000X Occupational Therapist (Licence: OH PT.011658) | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2008-06-27 |