| NPI | 1053682872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 09894) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33.016612) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2021-03-16 |