| NPI | 1245449073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 0520) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 3433) |
| 225200000X Physical Therapy Assistant (Licence: ME PA2822) | |
| 225200000X Physical Therapy Assistant (Licence: FL PTA20746) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |