NPI | 1982152526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT018451) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 22625) |
Enumeration Date | 2016-09-12 |
Last Update Date | 2020-07-06 |