| NPI | 1144526971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA23864) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 8391) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2014-01-14 |