| NPI | 1285223347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: RI PTA01319) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CT 2135) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |