| NPI | 1164815650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2107190) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 10380APTA) |
| 225200000X Physical Therapy Assistant (Licence: IL 160006369) | |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |