| NPI | 1215164132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NC 4152) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306602684) |
| 225200000X Physical Therapy Assistant (Licence: GA PTA002011) | |
| 225200000X Physical Therapy Assistant (Licence: IL 160002895) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |