| NPI | 1316235922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IA 001538) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NE 179) |
| 225700000X Massage Therapist (Licence: NE 1729) | |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2011-07-16 |