| NPI | 1265985949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 10358) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 09284) |
| 225200000X Physical Therapy Assistant (Licence: TX 2117571) | |
| 225200000X Physical Therapy Assistant (Licence: WA 60687963) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2023-07-19 |