| NPI | 1316364771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 10685A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: UT 8566908-2402) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |