| NPI | 1346510633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA25870) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 64180) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2018-03-12 |