| NPI | 1154786549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2117709) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA.10331) |
| 225200000X Physical Therapy Assistant (Licence: KY A03421) | |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2018-10-31 |