NPI | 1124757034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06005993A) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: IN MT21104001) |
Enumeration Date | 2022-06-07 |
Last Update Date | 2022-06-07 |