| NPI | 1225442601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO PTA.0012411) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 2065) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-13 |