| NPI | 1194007641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 1402216) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MO 2011008020) |
| 225200000X Physical Therapy Assistant (Licence: IN 06002725A) | |
| 225700000X Massage Therapist (Licence: IN MT20902520) | |
| Enumeration Date | 2011-09-11 |
| Last Update Date | 2011-09-11 |