| NPI | 1275652174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NH 0890) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 3870) |
| 225200000X Physical Therapy Assistant (Licence: FL 19685) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |