| NPI | 1992776629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 9349) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 914) |
| 225100000X Physical Therapist (Licence: AL 1951) | |
| 225100000X Physical Therapist (Licence: NC 3272) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2014-03-03 |