NPI | 1366051369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306605581) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA11772) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH 004444) | |
Enumeration Date | 2020-07-24 |
Last Update Date | 2024-03-28 |