| NPI | 1154013621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 9848) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ID 8764) |
| 225200000X Physical Therapy Assistant (Licence: WA CP017930A) | |
| 225200000X Physical Therapy Assistant (Licence: NV A-1071) | |
| 225200000X Physical Therapy Assistant (Licence: CO CP014925A) | |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |