| NPI | 1174773527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 4466-026) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WI 267-019) |
| 225200000X Physical Therapy Assistant (Licence: IN 06002835A) | |
| 225X00000X Occupational Therapist (Licence: IN 31004485A) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |