| NPI | 1245561760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2102529) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P1 60048751) |
| 225200000X Physical Therapy Assistant (Licence: OR 8270) | |
| 225200000X Physical Therapy Assistant (Licence: FL PTA 21241) | |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2020-02-20 |