| NPI | 1376782938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306602220) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06003352A) |
| 225200000X Physical Therapy Assistant (Licence: NY 006303-1) | |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |