| NPI | 1336116615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160.008943) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ID PTA-333) |
| 225200000X Physical Therapy Assistant (Licence: MO 2020010583) | |
| Enumeration Date | 2006-03-04 |
| Last Update Date | 2022-12-13 |