| NPI | 1225337959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NE 925) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2080348) |
| 225200000X Physical Therapy Assistant (Licence: MO 2010009847) | |
| 225200000X Physical Therapy Assistant (Licence: IL 160005421) | |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |