| NPI | 1053938878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN PTA0000007422) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TEI005137) |
| 225200000X Physical Therapy Assistant (Licence: OH PTA009896) | |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2020-06-27 |