| NPI | 1063994341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06005808A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA011936) |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2018-09-03 |