NPI | 1962788653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60205685) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AK PHYP2217) |
225100000X Physical Therapist (Licence: OR OR 60066) | |
Enumeration Date | 2011-10-26 |
Last Update Date | 2016-12-20 |