| NPI | 1073744462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KY A02548) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: GA 002563) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |