NPI | 1265467427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR PTA 2481) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA 20464) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2012-12-10 |