NPI | 1033326319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH PTA-3823) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT-649) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2007-07-08 |