| NPI | 1003473182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: HI 333) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA 60839352) |
| 225200000X Physical Therapy Assistant (Licence: OR 09683) | |
| 225200000X Physical Therapy Assistant (Licence: ID 4803) | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |