| NPI | 1043760283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 3755) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MD A4464) |
| 225200000X Physical Therapy Assistant (Licence: OK 2640) | |
| 225200000X Physical Therapy Assistant (Licence: PA TE010877) | |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2019-03-18 |