| NPI | 1114268968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2036499) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA.06136) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |