NPI | 1205218195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2135430) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 11627A) |
Enumeration Date | 2015-06-26 |
Last Update Date | 2021-01-25 |