| NPI | 1356569925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 06467) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06003900A) |
| Enumeration Date | 2007-04-21 |
| Last Update Date | 2013-10-10 |