NPI | 1174720262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TE001682L) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM A297) |
225200000X Physical Therapy Assistant (Licence: NC 3429) | |
Enumeration Date | 2007-07-02 |
Last Update Date | 2025-09-11 |