| NPI | 1083985527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 3399) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA 03759) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |