| NPI | 1134334659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KY PTA-A01168) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225200000X Physical Therapy Assistant (Licence: IL 160.002834) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2025-09-11 |