| NPI | 1033986641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WV 001012) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV PTA001012) |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |