| NPI | 1356543326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA20498) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WV 001192) |
| 225200000X Physical Therapy Assistant (Licence: NC 3545) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2021-03-08 |