| NPI | 1285009274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MD A4051) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV PTA001935) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |