| NPI | 1336508696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MI 5502003611) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 09201) |
| 225200000X Physical Therapy Assistant (Licence: TX 2109701) | |
| 225200000X Physical Therapy Assistant (Licence: ID 4334) | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |