| NPI | 1154484863 |
|---|---|
| Other Name | PEG HENRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 7514) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA0000373) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |