| NPI | 1265841381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CT 1491) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 8942) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |