| NPI | 1235303397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR PTA2049) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR 2049) |
| 225200000X Physical Therapy Assistant (Licence: TX 2061257) | |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2025-05-29 |