| NPI | 1164722377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA 21651) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NJ 40QB00243800) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |