| NPI | 1346599800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA0371) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2072885) |
| 225200000X Physical Therapy Assistant (Licence: CA 8838) | |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |