| NPI | 1144432881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 8425) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA 2970) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2009-11-10 |