| NPI | 1144430240 |
|---|---|
| Former Name | RENA LYNN SMYSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160004844) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2060433) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-04-26 |