| NPI | 1245681436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AL PTA7059) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 1982) |
| 225200000X Physical Therapy Assistant (Licence: FL PTA19175) | |
| 225200000X Physical Therapy Assistant (Licence: TX 2035566) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |