| NPI | 1083087753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 010076-1) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 25567) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-11 |