NPI | 1114299088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2074588) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IA 01055) |
225200000X Physical Therapy Assistant (Licence: MN a1423) | |
Enumeration Date | 2012-02-07 |
Last Update Date | 2012-02-07 |