| NPI | 1225298102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO PTA.0013772) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2016-04-14 |