| NPI | 1336661107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 008341-1) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 0083411) |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 008341-1) | |
| 225200000X Physical Therapy Assistant (Licence: NY 0083411) | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |