| NPI | 1336383488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH pta.07132) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MN a1269) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |