| NPI | 1356628176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NY 007081-1) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160005237) |
| 225200000X Physical Therapy Assistant (Licence: FL PTA21932) | |
| 225200000X Physical Therapy Assistant (Licence: WA P160156334) | |
| 225200000X Physical Therapy Assistant (Licence: CA 9393) | |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |