| NPI | 1174720262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NM A297) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC 3429) |
| 225200000X Physical Therapy Assistant (Licence: PA TE001682L) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |