NPI | 1982089702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 076568) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.022273) |
225100000X Physical Therapist (Licence: NC P17020) | |
225100000X Physical Therapist (Licence: TX 1300541) | |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IA 078780) | |
Enumeration Date | 2015-07-22 |
Last Update Date | 2020-02-14 |