| NPI | 1245686427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO PTA001330) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: UT 9475232402) |
| 225200000X Physical Therapy Assistant (Licence: ID PT4449) | |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |