NPI | 1134334659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.002834) |
225200000X Physical Therapy Assistant (Licence: KY PTA-A01168) | |
Enumeration Date | 2007-05-10 |
Last Update Date | 2007-07-08 |