| NPI | 1073025870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH PTA009166) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WI 2604-19) |
| 225200000X Physical Therapy Assistant (Licence: PA TE010728) | |
| 225200000X Physical Therapy Assistant (Licence: IN 06005504A) | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |