| NPI | 1154610152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: TN 64592) |
| Additional Taxonomies | 171W00000X Contractor (Licence: TN 64592) |
| 225200000X Physical Therapy Assistant (Licence: AR PTA 1579) | |
| 225200000X Physical Therapy Assistant (Licence: MS PTA4329) | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2021-08-17 |