| NPI | 1972556231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 002608) |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology (Licence: OH 002608) |
| 2251P0200X Physical Therapist Pediatrics (Licence: OH 002608) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |