| NPI | 1194973164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA26535) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE007859) |
| 225200000X Physical Therapy Assistant (Licence: PA TE1000354) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2016-07-13 |