| NPI | 1275156721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 9854) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2152677) |
| 225200000X Physical Therapy Assistant (Licence: ID 6492) | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-06-09 |