| NPI | 1003289570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA 26011) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CT 1564) |
| 225700000X Massage Therapist (Licence: FL MA79747) | |
| 225700000X Massage Therapist (Licence: CT 1315) | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2016-02-04 |