| NPI | 1376269753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH PTA009979) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY A03308) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |