| NPI | 1003615634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH PTA-2866) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2026-03-05 |