| NPI | 1164229068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 4844) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ME PA7063) |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-03-06 |