| NPI | 1134243124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WV 001228) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE007512) |
| 225200000X Physical Therapy Assistant (Licence: TN 3924) | |
| 225200000X Physical Therapy Assistant (Licence: NY 6332) | |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2007-07-08 |