| NPI | 1255612990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 005089) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 9494) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |