NPI | 1053658443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 3529) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY A000647) |
Enumeration Date | 2013-01-07 |
Last Update Date | 2016-11-23 |