| NPI | 1205266657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA24288) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CO 13243) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2022-07-08 |