| NPI | 1275960239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA002778) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 2577) |
| 225200000X Physical Therapy Assistant (Licence: NC A4778) | |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |