| NPI | 1346751930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06005580A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA011382) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |