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 |