| NPI | 1992966899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: FL PT 27733) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: GA PT010588) |
| 2251S0007X Physical Therapist, Sports (Licence: VA 2305204922) | |
| 2251S0007X Physical Therapist, Sports (Licence: TN PT7650) | |
| 2251S0007X Physical Therapist, Sports (Licence: TX 1170668) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2014-07-24 |