| NPI | 1194942946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2033645) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC 2143) |
| 225200000X Physical Therapy Assistant (Licence: OH 056773) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |