| NPI | 1982886362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT18576) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: FL pt18576) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: FL pt18576) | |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |