| NPI | 1013040955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CA AT 8563) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306601534) |
| 225200000X Physical Therapy Assistant (Licence: MD A2876) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2010-06-24 |