| NPI | 1093974008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A4253) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 7817A) |
| 225200000X Physical Therapy Assistant (Licence: KS 14-01243) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2019-04-09 |