| NPI | 1366738437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 20103) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 2279) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |