| NPI | 1366651994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: RI PTA00469) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 4051) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-04-27 |