| NPI | 1134430382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 582) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC 1241) |
| 225200000X Physical Therapy Assistant (Licence: FL 21910) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |