| NPI | 1184031189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WV 001689) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 08376) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |