NPI | 1982838041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009602) |
Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: GA PT009602) |
2251X0800X Physical Therapist, Orthopedic (Licence: GA PT009602) | |
2251P0200X Physical Therapist, Pediatrics (Licence: GA PT009602) | |
Enumeration Date | 2009-05-05 |
Last Update Date | 2015-12-11 |