| NPI | 1376888685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KY A01536) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IN 06003023A) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |