| NPI | 1275786428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 1585) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY 457) |
| Enumeration Date | 2008-11-01 |
| Last Update Date | 2008-11-01 |