| NPI | 1336517622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AL PTA 5657) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA31114) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2022-09-13 |