| NPI | 1154947364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160007529) |
| 225200000X Physical Therapy Assistant (Licence: MO 2016034171) | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-27 |