| NPI | 1124553730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA003742) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO PTA0013919) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2018-02-20 |