| NPI | 1265700306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH pta06949) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 9586a) |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2011-12-04 |