| NPI | 1194093096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 07698) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2078125) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |