| NPI | 1255826368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 09059) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV 001929) |
| Enumeration Date | 2018-06-30 |
| Last Update Date | 2021-04-02 |