| NPI | 1114352135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WV 001120) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 05735) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |