| NPI | 1114453412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MN A1945) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 48259) |
| 225200000X Physical Therapy Assistant (Licence: AZ PTA-011958) | |
| 225200000X Physical Therapy Assistant (Licence: TX 2118810) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2018-10-02 |