| NPI | 1033320296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL pta20743) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH pta06142) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2007-07-08 |