| NPI | 1376742668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA22483) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PTA2470) |
| 225200000X Physical Therapy Assistant | |
| 225200000X Physical Therapy Assistant (Licence: TN 4882) | |
| 225200000X Physical Therapy Assistant (Licence: MO 116620) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2018-04-06 |