| NPI | 1063095271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160.008769) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06003485A) |
| 225200000X Physical Therapy Assistant (Licence: MO 2020023327) | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |