| NPI | 1265845846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160.002529) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AZ 0242A) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |